RT Journal Article SR Electronic T1 LIF Drives Neural Remodeling in Pancreatic Cancer and Offers a New Candidate Biomarker JF Cancer Research JO Cancer Res FD American Association for Cancer Research SP 909 OP 921 DO 10.1158/0008-5472.CAN-15-2790 VO 78 IS 4 A1 Bressy, Christian A1 Lac, Sophie A1 Nigri, Jérémy A1 Leca, Julie A1 Roques, Julie A1 Lavaut, Marie-Nöelle A1 Secq, Véronique A1 Guillaumond, Fabienne A1 Bui, Thi-Thien A1 Pietrasz, Daniel A1 Granjeaud, Samuel A1 Bachet, Jean-Baptiste A1 Ouaissi, Mehdi A1 Iovanna, Juan A1 Vasseur, Sophie A1 Tomasini, Richard YR 2018 UL http://cancerres.aacrjournals.org/content/78/4/909.abstract AB Pancreatic ductal adenocarcinoma (PDAC) is characterized by extensive stroma and pathogenic modifications to the peripheral nervous system that elevate metastatic capacity. In this study, we show that the IL6-related stem cell–promoting factor LIF supports PDAC-associated neural remodeling (PANR). LIF was overexpressed in tumor tissue compared with healthy pancreas, but its receptors LIFR and gp130 were expressed only in intratumoral nerves. Cancer cells and stromal cells in PDAC tissues both expressed LIF, but only stromal cells could secrete it. Biological investigations showed that LIF promoted the differentiation of glial nerve sheath Schwann cells and induced their migration by activating JAK/STAT3/AKT signaling. LIF also induced neuronal plasticity in dorsal root ganglia neurons by increasing the number of neurites and the soma area. Notably, injection of LIF-blocking antibody into PDAC-bearing mice reduced intratumoral nerve density, supporting a critical role for LIF function in PANR. In serum from human PDAC patients and mouse models of PDAC, we found that LIF titers positively correlated with intratumoral nerve density. Taken together, our findings suggest LIF as a candidate serum biomarker and diagnostic tool and a possible therapeutic target for limiting the impact of PANR in PDAC pathophysiology and metastatic progression.Significance: This study suggests a target to limit neural remodeling in pancreatic cancer, which contributes to poorer quality of life and heightened metastatic progression in patients. Cancer Res; 78(4); 909–21. ©2017 AACR.